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Penilaian APGAR SKOR, jika bayi bernafas megap-megap atau lemah maka segera lakukan tindakan resusitasi bayi
baru lahir.


Tanda 0 1 2
Denyut Tidak
Lambat < 100 >100
jantung(pulse) ada
Usaha Tidak Lambat, tidak Menangis dengan
nafas(respisration) ada teratur keras
Fleksi pada
Tonus otot(activity) Lemah Gerakan aktif
Kepekaan Tidak
Merintih Menangis kuat
reflek(gremace) ada
Tubuh merah
Biru muda, Seluruhnya merah
pucat ekstremitas muda

Sumber : Saifuddin, 2002

Klasifikasi :
a. Asfiksia ringan (apgar skor 7-10)
b. Asfiksia sedang (apgar skor 4-6)
c. Asfiksia berat (apgar skor 0-3)

Sumber: :
APGAR is a quick test performed on a baby at 1 and 5 minutes after birth. The 1-minute score determines
how well the baby tolerated the birthing process. The 5-minute score tells the doctor how well the baby is
doing outside the mother's womb.

The test may rarely be done 10 minutes after birth.

How the Test is Performed

The APGAR test is done by a doctor, midwife, or nurse. The health care provider will examine the baby's:

Breathing effort
Heart rate
Muscle tone
Skin color

Each category is scored with 0, 1, or 2, depending on the observed condition.

Breathing effort:
o If the infant is not breathing, the respiratory score is 0.
o If the respirations are slow or irregular, the infant scores 1 for respiratory effort.
o If the infant cries well, the respiratory score is 2.
Heart rate is evaluated by stethoscope. This is the most important assessment:
o If there is no heartbeat, the infant scores 0 for heart rate.
o If heart rate is less than 100 beats per minute, the infant scores 1 for heart rate.
o If heart rate is greater than 100 beats per minute, the infant scores 2 for heart rate.
Muscle tone:
o If muscles are loose and floppy, the infant scores 0 for muscle tone.
o If there is some muscle tone, the infant scores 1.
o If there is active motion, the infant scores 2 for muscle tone.
Grimace response or reflex irritability is a term describing response to stimulation such as a mild
o If there is no reaction, the infant scores 0 for reflex irritability.
o If there is grimacing, the infant scores 1 for reflex irritability.
o If there is grimacing and a cough, sneeze, or vigorous cry, the infant scores 2 for reflex
Skin color:
o If the skin color is pale blue, the infant scores 0 for color.
o If the body is pink and the extremities are blue, the infant scores 1 for color.
o If the entire body is pink, the infant scores 2 for color.

Why the Test is Performed

This test is done to determine whether a newborn needs help breathing or is having heart trouble.

Normal Results
The APGAR rating is based on a total score of 1 to 10. The higher the score, the better the baby is doing
after birth.
A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health. A score of 10 is very unusual,
since almost all newborns lose 1 point for blue hands and feet, which is normal for after birth.

What Abnormal Results Mean

Any score lower than 7 is a sign that the baby needs medical attention. The lower the score, the more help
the baby needs to adjusting outside the mother's womb.

Most of the time a low Apgar score is caused by:

Difficult birth
Fluid in the baby's airway

If your child has a low Apgar score, he or she may receive:

Oxygen and clearing out the airway to help the baby breathe
Physical stimulation to get the heart beating at a healthy rate

Most of the time, a low score at 1 minute is near-normal by 5 minutes.

A lower Apgar score does not mean a child will have serious or long-term health problem. The Apgar score is
not designed to predict the future health of the child.

Alternative Names
Newborn scoring

Haddad GG, Green TP. Diagnostic approach to respiratory disease. In: Kliegman RM,Behrman RE, Jenson
HB, Stanton BF, eds.Nelson Textbook of Pediatrics.19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap

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